CLIA lab
CLIA 04D2328089: Grand Prairie Wellness Clinic
Stuttgart, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2328089 belongs to Grand Prairie Wellness Clinic in Stuttgart, AR.
Certificate of Waiver, effective August 5, 2025, expires August 4, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2025
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2328089
- Lab name
- Grand Prairie Wellness Clinic
- Address
- 310 W 22nd St, Stuttgart, AR 72160
- Phone
- (870) 673-1504
- Fax
- (844) 689-3150
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Baptist Health Medical Center-StuttgartCertificate of Compliance, Hospital04D0667580
- Baptist Health Stuttgart Campus ClinicCertificate of Waiver, Ancillary test site04D0888528
- Baptist Health Stuttgart Medical ClinicCertificate of Waiver, Community clinic04D0466816
- Buerkle Drug ManagementCertificate of Waiver, Pharmacy04D2205350
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2119462
- Coker Hampton DrugCertificate of Waiver, Pharmacy04D2155109
- Crestpark Retirement InnCertificate of Waiver, Skilled nursing or nursing facility04D0887718
- DR Lindsay Audirsch ChiropractorCertificate of Waiver, Physician office04D2164483
Related
Questions
What is the CLIA number for Grand Prairie Wellness Clinic in Stuttgart?
04D2328089, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Prairie Wellness Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2328089 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.